T. H. S.  CLASS OF 1966-1971
Casino Dance and Fun Day
Registration Application 

 
YOU: THS Alumni  o    Year:____   Male o  Female o 
High School Name: (L) ________________ (F)_________________
Current last name: _____________  Nick Name: _______________
Guest: THS Alumni  o      Year:______      Male o Female o           Spouse o
Name:   L) ______________ (F)________________

Mailing Address:

  _________________________ ___

  _____________________________

State ___________  Zip  __________  
Phone:    _____________  2nd Phone: ____________
E-Mail:      ______________________________
No. of Tickets @ $30.00 Each_______       Total  $_________ @$20.00 Each: Parents or Faculty: Total $_______
Total $_________
Mail Check  to: 

     
THS Reunion Class of 1969
P.O. BOX 322
Copperopolis, CA 95228